205865 01/31/2012 *f CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC CHECK AMOUNT: $292.50
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY
PO BOX 1957 CHECK NUMBER: 205865
"ON P NOBLESVILLE IN 46060
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS484982 292.50 AUTO REPAIR MAINTEN
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www.hareauto.com
CHEVROLET
2001 Stoney Creek Road Noblesville. Indiana 46060
Ph: 317- 773 -1090 Fx: 317- 776 -5038
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
1390 C11 75Z72 _Dj_L? 11 11 C
LABOR RATE LICENSE NO. MI11AG1 COL C O.
CITY OF CARM E L YEAR /MAKE /MODEL D V Y DATE DELIVERY MILES 32 1 CIVIC SQ
CARMEL, IN 46032 -2584 VE I L LD.N SELLING DEALER NO. PRODUCTION DATE
..E. N .O. R.O. DATE 31201550-020 23/1-)
RESIDENCE PHONE BUSINESS PHONE COMM NS
_�17-R4C,-74qq 1317-571-2600
LABOR PARTS---------------------------------------------------------------- TERMS: STRICTLY CASH
J# 1 20CVZ ELECTRICAL REPAIRS TECH(S) :437 292.50 UNLESS ARRANGEMENTS MADE
C/S THE BLOWER ONLY WORKS ON DEFROST AND NOT VENTS AND FLOOR hereby authorize the repair work hereinafter
ADVISE set forth to be done along with the necessary
TESTED AND TORE DOWN DASH AND HEATER CASE TO ACESS AND material and agree that you are not respon-
FOUND THE BLEND DOORS AND LINKAGES WORN AND WALLARD OUT sible for loss or damage to vehicle or articles
ON THE DOORS, REPAIRED DOORS AND LINKAGES AND REINSTALLED left in vehicle in case of fire, theft, or any other
ALL HARDWARE. cause beyond your control or for any delays
caused by unavailability of parts or delays In
JOB I TOTAL LABOR PARTS 292.50 parts shipments by the supplier or transporter.
I hereby grant you and /or your employees
COMMENTS---------------------------------------------- permission to operate the vehicle herein
NEEDS BACK THIS AFTERNOON DONE OR NOT described on streets, highways, or elsewhere
for the purpose of testing and /or inspection. An
TOTALS------------------------------------------------------------ express mechanic's lien is hereby acknow-
ledged on below vehicle to secure the amount
PARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 292.50 of repairs thereto"
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 0.00
TOTAL SUBLET... 0.00 "The Factory Warranty Constitutes All Of The
TOTAL G.O. G... 0.00 Warranties With Respect To The Sale Of This
TOTAL MISC CHG. 0.00 ItemAtems. The Seller Hereby Expressly Dis-
COMPLETELY SATISFIED TOTAL MISC DISC 0.00 claims All Warranties, Either Express Or
TOTAL TAX...... 0.00 Implied, Including Any Implied Warranty Of
Merchantability Or Fitness For A Particular
TOTAL INVOICE 292.50 Purpose, And The Seller Neither Assumes
THANK YOU Nor Authorizes Any Other Person To Assume
For It Any Liability In Connection With The
Sale of This Item/items."
MISCELLANEOUS
MATERIAL CHARGE
10% OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
CUSTOMER SIGNATURE BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF V /z% (minimum
charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18%.
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agzl acaa avrw.:ee... *7� yea &u* a"
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PAGE 1 OF 1 CUSTOMER COPY END OF INVOICE I 09:07am
IB(RP SC 104 9/09
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/24/12 CTCS484982 $292.50
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$292.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 CTCS484982 43- 510.00 $292.50 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
t f Thursday, January 26, 2012
Street Commissioner
OLIU.CL VUII IIIIIJJIVII 1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund